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目的了解医院消毒与灭菌质量,提出医院消毒与感染控制整改措施。方法依托国家疾控中心和湖北省《医院消毒与感染控制监测方案》项目实施,对武汉市某医院临床科室开展消毒质量监测。结果 2013-2015年共采样657份,合格559份,总合格率85.1%;3年平均合格率分别为76.8%、78.1%和86.80%。其中消毒内镜、蒸汽灭菌器、污水、治疗用水监测合格率均为100.0%;物体表面合格率最低为72.6%;空气细菌沉降率、外科手、卫生手合格率分别为92.5%、92.7%和80.3%。结论该医院消毒质量3年平均合格率逐步提高,重点科室非常规物体表面、医务人员手卫生意识、手消毒剂的耐药和器械清洗质量应予以高度重视。
Objective To understand the quality of hospital disinfection and sterilization, disinfection and infection control proposed hospital rectification measures. Methods Relying on the implementation of the National CDC and Hubei Provincial Hospital Sterilization and Infection Control Monitoring Program, the quality of disinfection was monitored in the clinical departments of a hospital in Wuhan. Results A total of 657 samples were obtained during the period from 2013 to 2015, 559 were qualified, with a total pass rate of 85.1%. The average pass rates in three years were 76.8%, 78.1% and 86.80% respectively. The qualified rates of disinfection endoscope, steam sterilizer, sewage and treatment water were all 100.0%; the lowest pass rate was 72.6% on the surface of the object; the bacterial settlement rate of air was 92.5%, the pass rate of the hand and health hand was 92.5% And 80.3%. Conclusion The three-year average passing rate of disinfection quality in this hospital is gradually increasing. The non-routine objects in major departments, the awareness of hand hygiene of medical workers, the resistance of hand disinfectants and the quality of instrument cleaning should be highly valued.